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Сеть непосредственного обслуживания потребителей Флориды
FORMS
Forms available in Spanish have a 🌐 icon. To view translated versions of these forms, select Spanish from the top menu.
UnitedHealthcare Forms
Enrollment Packets
Participant Enrollment Forms
Participant Enrollment Packet 🌐
Participant Enrollment Packet Instructions 🌐
Direct Service Worker Enrollment Forms
Direct Service Worker Enrollment Packet 🌐
Direct Service Worker Enrollment Packet Instructions 🌐
Additional Forms and Information
Feedback Form
Feedback Form 🌐
Participant Direction Option (PDO) Information
Payroll Related Forms
IVR Registration Form 🌐
2026 Payroll Calendar 🌐
2025 Payroll Calendar 🌐
Pay Selection Form 🌐
Wisely Pay Card 🌐
I-9 Instructions 🌐
W-4 Form
W-2 Frequently Asked Questions
Fingerprinting Procedures and Information
Fingerprinting Procedures 🌐
Direct Service Worker Information Needed for Fingerprinting 🌐
Representative Information Needed for Fingerprinting 🌐
EVV Notification
EVV Notification to DSW
EVV Notification Letter to Participant
Molina Forms
Enrollment Packet
Participant Enrollment Forms
Participant Enrollment Packet 🌐
Participant Enrollment Packet Instructions
Direct Service Worker Enrollment Forms
Direct Service Worker Enrollment Packet 🌐
Direct Service Worker Enrollment Packet Instructions 🌐
Additional Forms and Information
Feedback Form
Feedback Form
Participant Direction Option (PDO) Information
PDO Guidelines 🌐
PDO Manual
Payroll Related Forms
IVR Registration Form 🌐
2026 Payroll Calendar 🌐
2025 Payroll Calendar 🌐
Pay Selection Form
Wisely Pay Card 🌐
I-9 Instructions 🌐
W-4 Form
W-2 Frequently Asked Questions
Fingerprinting Procedures and Information
Fingerprinting Procedures
Direct Service Worker Information Needed for Fingerprinting
EVV Notification
EVV Notification